Many factors must be taken into account when controlling myopia progression. There is no doubt genetics plays a role in the development of myopia in children. But lifestyle is also an important factor to consider. In terms of safe and effective treatment, orthokeratology is now known to be successful in controlling myopia and has even been shown to slow down progression in individuals with high myopia. While it has developed substantially in Latin America, it is effectively mainstream in the US and a common treatment in China, where there are numerous orthokeratology clinics in city hospitals. Currently, orthokeratology is also on the rise in Europe.